The HealthEdge Wellframe™ Solution Suite
Rising Risk Member Engagement
HealthEdge's Wellframe Digital Member Engagement solution empowers health plans to expand their reach and engage rising-risk members with personalized, continuous support. By harnessing advanced digital tools, care teams can identify emerging health needs early and deliver timely interventions, fostering stronger connections and better outcomes. Rising-risk members gain access to real-time resources, helping them stay on track and avoid escalation of health issues.
Traditional care models often struggle to effectively support rising-risk populations due to limited visibility and episodic engagement. Wellframe breaks these barriers with a unified, digital-first approach that extends the capacity of care teams and enhances operational efficiency. Through real-time insights, bidirectional communication, and member self-service resources, health plans can address challenges proactively to create a seamless experience that improves outcomes.
Features
Member Experience
Our flexible member experience options empower health plans to foster deeper connections with members by offering bidirectional chat, assessments, and on-demand resources. We help you curate resources around members’ needs to improve experiences and care outcomes.
Staff Dashboard
Your teams have access to all the member information they need in one place. This makes it easy for them to build more – and stronger – connections across each member’s health journey.
AI-Powered Innovation
AI-enabled capabilities empower care teams to deliver more efficient support with dynamic insights, automation, and personalized member engagement.
Customer Partnership
Achieve your digital transformation ambitions with a proven collaborator. Our partnership provides hands-on support and digital health management services to help maximize member engagement and differentiate your organization.
Assured Privacy and Security
Privacy and security are baked into the core of our technology. In addition to HIPAA and AICPA SOC2 compliance, our platform offers application security through single sign-on (SSO), strong password requirements, and multi-factor authentication. Plus, you benefit from the infrastructure security strengths of the Google Cloud Platform (GCP).
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See for yourself how Wellframe can help you improve experiences and care outcomes.
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Why We’re Different
Clinician-Led Expertise
Our physician-led organization is supported by a robust team of clinicians with more than 450 years of combined experience. This helps ensure our solutions are thoughtfully designed to tackle real-world healthcare challenges.
Comprehensive Digital Engagement
Consolidate your digital member engagement ecosystem with a singular solution designed to support diverse member populations across varying clinical conditions, risk levels, and lines of business.
No Wrong Front Door
Our flexible member experience options, available through a mobile app, web-based platform, or embedded in your health plan’s digital assets, empower you to connect with members wherever they are.
Solutions for Every Stage of Digital Maturity
Whether your health plan is just beginning to modernize workflows or refining a sophisticated ecosystem, our adaptable platform scales to support plans at all stages of digital maturity.
Meaningful Analytics
Measure the impact of digital health management on cost and utilization while uncovering insights that improve the member experience.
Proven Outcomes
Wellframe is proven to enhance clinical outcomes with $1,923 in cost savings per member, a 9% decrease in emergency room visits, and a 17% reduction in inpatient admissions, while expanding staff capacity. On average, payers see a 200% increase in active caseload size for clinicians and care providers.
Customer-Centric Innovation
We are dedicated to meeting health plans where they are, guided by a dynamic feedback loop that amplifies the voices of our customers, ensuring our solutions evolve seamlessly with the market’s ever-changing demands.
Partnership and Cobranding
We collaborate with your organization to drive digital transformation through seamless implementation, member onboarding, and staff education, enhancing your member engagement while keeping your brand at the forefront.
HealthEdge Care-Wellframe Integration
HealthEdge Care-Wellframe is a scalable, flexible integration that brings together GuidingCare, our full-spectrum care management platform, with Wellframe in one unified solution, offering health plans a comprehensive package with the right tools to transform their care management function. The Care-Wellframe integration enables health plans to:
- Streamline Care Management Workflows: Fully integrated solution provides care managers with comprehensive member view through a singular care management platform – no swivel chair
- Enhance Member Engagement: Meet members where they are on their own terms through omnichannel communication and a multi-modal digital front door
- Scale Care Management Resources: Maximize care manager efficiency to support more members with dynamic decision support tools, alerting logic, and instant access to clinical and community SDOH resources
With Care-Wellframe, health plans unlock the power to revolutionize care management operations and elevate member outcomes, all through a seamless, unified solution designed for impact and scalability.
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